"I am encouraging every senator to vote for Graham-Cassidy, because it is our best, last chance to get repeal and replace done", Ryan said Monday. Without that fast-track ability to send the Senatebill to the House, the Senate would need 60 votes to pass the Graham-Cassidy bill, a seemingly impossible task given that there are 46 Democrats in the Senate now. The third, Sen. John McCain (Ariz.), has suggested that he supports the measure but emphasized that the legislation should be subject to bipartisan hearings before it comes to the floor.

Ohio Republican Sen. Rob Portman told reporters on Tuesday that he's still reviewingthe bill and its impact on Ohio and will decide soon whether to support it.

Hogan spoke out on the same day that 10 other governors from both parties, including Gov. Terry McAuliffe, a Democrat, of Virginia, sent a letter to Senate Majority Leader Mitch McConnell, R-Ky., and Minority Leader Charles Schumer, D-N.Y., rejecting the plan GOP leaders have embraced. Democrats one last loud and sustained push from the American people to remind Senate Republicans that vote to repeal Obamacare will not be tolerated.

"We're crunching those numbers", he said. Bill Cassidy as a liar on Tuesday night, assailing the Republicans' latest attempt to repeal Obamacare and pleading with Congress to protect Americans' health insurance.

Two of those Republicans have said they are undecided on the Graham-Cassidy-Heller-Johnson bill.

The bill would also eliminate the federal individual mandate for individuals to have health insurance, as well as the mandate that employers with 50 or more full-time employees provide health insurance to those employees. ME alone would lose more than $1 billion in federal Medicaidfunding over the next decade if this new proposal became law.

All the money that now goes to those initiatives would instead be distributed to the states as block grants that would particularly benefit those states that did not expand Medicaid earlier and those states with lower health care costs. It will certainly muster no Democratic support, and has already lost Senator Rand Paul (R, Kentucky), who claimed that the bill did not go far enough in repealing the Affordable Care Act.

The Graham-Cassidy proposal shifts the Medicaid expansion to a block-grant program. The bill allows states to opt out of critical protections for those with pre-existing conditions and hits states that expanded Medicaid especially hard.